Individual provider Active NPI

Donna Hekmatjou, MD

  • Family Medicine Physician
  • Alma, MI
National Provider Identifier
1669220455
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351052665 Issued in MI
Practice address
330 E Warwick Dr
Alma, MI 48801-1014
Phone
(989) 629-8140
NPI assigned
May 8, 2024
Last updated
May 8, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351052665 MI Primary

Addresses

Primary practice location

330 E Warwick Dr
Alma, MI 48801-1014

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240518000338 MI Order and Referring Only - Family PracticePractitioner - Family Practice 7416398664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4351052665MIMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1669220455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011014",
            "telephone_number": "989-629-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEKMATJOU",
        "first_name": "DONNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351052665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.